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General NPI Number Information
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NPI Number | 1265963284
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Entity Type | Organization
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Legal Business Name | LEONARD H GOLDSMITH DPM
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Dates
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Enumeration Date | 03/22/2017
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Last Update Date | 03/22/2017
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Provider Practice Location Address
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Address Line | 119 MILL CREEK RD H1N
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City | ARDMORE
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State | PA
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Zip | 19003-1535
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Country | US
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Telephone | 610-529-7505
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Fax | 610-482-9393
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Provider Business Mailing Address
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Address Line | PO BOX 212
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City | HAVERFORD
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State | PA
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Zip | 19041-0212
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Country | US
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Telephone | 610-529-7505
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Fax | 610-482-9393
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Authorized Official
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Title or Position | OWNER
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Name | LEONARD GOLDSMITH
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Credential |
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Telephone | 610-529-7505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | SC002437L
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License Number State | PA
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